Prevention of surgery-related complications of radical lymphade-nectomy for gastric cancer / 中国肿瘤临床

ABSTRACT

D2 radical lymphadenectomy is currently the worldwide standard operation for locally advanced gastric cancer. The most common organs affected by intraoperative injuries include perigastric blood vessels, the spleen, the common bile duct, the pancre-as, and lymphatic vessels. Postoperative complications usually include bleeding, lymphatic leakage, anastomotic leakage, and delayed gastric emptying. Annual volume is an important factor in the mortality and morbidity of the operation. The learning curve for the proce-dure involves approximately 50 operations. Adequate living anatomical knowledge and skilled surgical techniques are prerequisites for D2 lymphadenectomy.